Management of neonatal head injuries: A retrospective cohort study.
head computed tomography
head trauma
neonate
traumatic brain injury
Journal
Acta paediatrica (Oslo, Norway : 1992)
ISSN: 1651-2227
Titre abrégé: Acta Paediatr
Pays: Norway
ID NLM: 9205968
Informations de publication
Date de publication:
23 Sep 2024
23 Sep 2024
Historique:
revised:
30
07
2024
received:
16
05
2024
accepted:
03
09
2024
medline:
23
9
2024
pubmed:
23
9
2024
entrez:
23
9
2024
Statut:
aheadofprint
Résumé
The aim of this study is to describe circumstances, management and short-term outcomes of neonatal head trauma, and adherence to the Paediatric Emergency Care Applied Research Network (PECARN) head trauma prediction rule for children under 2 years. Multicentre retrospective cohort study of neonates (<29 days) with head trauma across 25 emergency departments (ED) from January 2017 to June 2021. A total of 492 neonates (median age 17 days, range 0-28 days) with non-trivial head trauma were enrolled. Falls were the most common injury mechanism (375/492, 76.2%). Imaging was performed in 150/492 (30.5%) neonates. Clinically important traumatic brain injury (ciTBI), defined as death, neurosurgery, prolonged intubation, or extended hospitalisation from injury, occurred in 7/492 (1.4%) cases. Notably, 286/492 (58.1%) neonates were managed by short-term observation (<48 h), and 126/492 (25.6%) were admitted. Among high-risk neonates per PECARN criteria, 17/21 (80.9%) did not undergo recommended head CT scans but were observed within ED short observation units or underwent alternative imaging, with no ciTBI diagnoses among those discharged without CT. Severe neonatal head injuries are rare, and most neonatal head injuries have a favourable outcome, making observation a suitable approach, while remaining vigilant for signs of non-accidental injuries.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Investigateurs
Walter Maria Sarli
(WM)
Carolina D'Anna
(C)
Vincenzo Tipo
(V)
Sebastian Cristaldi
(S)
Anna Maria Musolino
(AM)
Jessica Tibaldi
(J)
Alessandro Parodi
(A)
Claudia Bondone
(C)
Pier Luigi Vasarri
(PL)
Francesca Bechi
(F)
Antonio Chiaretti
(A)
Giuseppe Bertolozzi
(G)
Giorgio Cozzi
(G)
Francesca D'Aiuto
(F)
Paola Montesano
(P)
Francesca Lami
(F)
Davide Silvagni
(D)
Salvatore Grosso
(S)
Luigi Corvaglia
(L)
Rino Agostiniani
(R)
Gaia Francescato
(G)
Roberto Bernardini
(R)
Alessandro Orsini
(A)
Marcello Lanari
(M)
Elena Malpezzi
(E)
Susanna Falorni
(S)
Chiara Centenari
(C)
Silvia Navari
(S)
Paola Cogo
(P)
Simona Montano
(S)
Letizia Magi
(L)
Elena Coccolini
(E)
Fabrizio Sandri
(F)
Federico Matina
(F)
Francesca Chesi
(F)
Rosa Maria Cerbo
(RM)
Chiara Ghizzi
(C)
Paola Pelosi
(P)
Carlo Dani
(C)
Informations de copyright
© 2024 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.
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